从童年到中年,追踪和转变血压的概率
Yaxing Meng1,2, James E Sharman3, Fiia Iiskala4
1Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
JAMA pediatrics
|November 4, 2024
概括
儿童血压 (BP) 分类,使用美国儿科学会 (AAP) 门,强烈预测成人BP. 儿童的正常血压倾向于持续到青春期,但在成年时显著下降,突出了早期预防的需要.
科学领域:
- 心脏病学 心脏病学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 儿童血压 (BP) 查至关重要,但儿童BP分类的长期预测价值及其自然进展尚未得到充分理解.
- 了解血压从童年到中年是如何跟踪的,对于有效的心血管风险管理策略至关重要.
研究的目的:
- 通过美国儿科学会 (AAP) 门来评估从童年到中成年期的血压 (BP) 的跟踪.
- 为了估计随着时间的推移在不同BP分类之间过渡的概率,考虑多个测量点.
主要方法:
- 年轻芬兰人的心血管风险研究分析了38年 (1980-2018) 期间2918名参与者的数据.
- 血压 (BP) 在童年,青春期,青春期,青春期和中成年期被测量了9次.
- 多状态马尔科夫模型被用来估计基于AAP和美国心脏病学会/美国心脏协会指南的BP分类 (正常,高,高血压) 之间的过渡概率.
主要成果:
- 一个显著的追踪系数 (OR,2.16) 表明,在儿童/青少年时期的高血压/高血压和后来的血压之间存在持久的关联.
- 与女性相比,男性患高血压和维持高血压的可能性更高.
- 维持正常血压的概率从青春期到年轻成年期显著下降,在前5-10年下降更快.
结论:
- 儿童和青少年血压分类,使用AAP值,显示对成人血压的持久影响.
- 虽然儿童时期的正常血压往往持续到青春期,但在成年期保持血压的可能性较小,这强调了早期预防的重要性.
- 青春期可能是血压管理的关键时期,研究结果表明,对于最初血压正常的儿童,可能需要调整查频率.
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